• Health Care Fund Application

  • Application Cycle: Fall 2026

    To be considered for the Fall 2026 cycle for these funds, applications and expense documentation must be submitted by Monday, November 16, 2026 at 5:00pm. If you have any questions, please email 33@yaleunions.org.

    The fund application window is October 15–November 16, 2026. Applications are due by 5:00pm EDT on November 16, 2026. For all funds except the International Fund, applications for expenses incurred between April 17th, 2026 and November 16th, 2026 will be considered.

    All information is required and must be filled out completely for your application to be processed.

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  • Start Date of Bargaining Unit Job*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Are you still in this job?*
  • End Date of Bargaining Unit Job*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Description of Eligible Expenses & Expense Documentation 

    Maximum reimbursement per cycle: $3,000
  • Are you enrolled in the Yale Student Health insurance plan?*
  • Are you enrolled in the Yale G&P Dental Plan or the Yale PhD Dental Plan?*
  • Are you enrolled in the Yale G&P Vision Plan?*
  • Are you enrolled on any other health insurance plan?*
  • Are you enrolled on any other dental insurance plan?*
  • Are you enrolled on any other vision insurance plan?*

  • Please attach documentation for each eligible expense (copies of invoice or bill AND receipt or other proof of payment which matches the invoice or bill). Applicants may redact personal health information on documents so long as the date of payment, recipient of payment’s full name, and amount of payment are clearly visible on all documentation. Documents provided as part of this application will not be returned to applicants.

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